NURSING
12TH EDITION
• AUTHOR(S)CAROLINE ROSDAHL
TEST BANK
1) Florence Nightingale and the environment
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem: A postoperative patient is recovering in a shared room
that feels warm, cluttered, and poorly ventilated. The LPN notes
that the patient appears fatigued and less comfortable than
earlier in the shift. Which action best reflects Florence
Nightingale’s influence on nursing care?
A. Limit the patient’s movement so energy is conserved
B. Improve airflow, reduce clutter, and keep the environment
clean
,C. Ask the patient to rest until the provider makes rounds
D. Delay hygiene care until the evening shift
Correct Answer: B
Rationale — Correct: Nightingale emphasized the healing effect
of a clean, well-ventilated, orderly environment. An LPN can
improve comfort and safety by reducing clutter, supporting
ventilation, and maintaining cleanliness.
Rationale — A: Rest may be helpful, but limiting movement
does not address the environmental factors causing discomfort.
Rationale — C: Waiting does not address the immediate
nursing need.
Rationale — D: Hygiene should not be delayed when
cleanliness and comfort are current priorities.
Teaching Point: Clean surroundings support healing and patient
comfort.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
2) Nightingale’s contribution to observation
Reference: Ch. 1 — The Origins of Nursing — Nursing’s Heritage
Stem: An LPN is caring for an older adult who becomes more
confused in the late evening. The room is noisy, dim, and
disorganized. Which nursing action best reflects Nightingale’s
approach to patient care?
,A. Silence all communication to avoid overstimulation
B. Reposition the patient, ensure adequate lighting, and reduce
noise
C. Ask the family to leave and return tomorrow
D. Document the behavior and take no further action
Correct Answer: B
Rationale — Correct: Nightingale stressed observation and
environmental control to promote recovery. A calmer, safer
environment may reduce confusion and improve comfort, and
the LPN can take action within scope.
Rationale — A: Communication should not be eliminated; the
goal is to reduce unnecessary noise.
Rationale — C: Family presence may be supportive and is not
the first intervention.
Rationale — D: Confusion is a meaningful change that requires
intervention, not passive observation alone.
Teaching Point: Environmental changes can reduce stress and
support recovery.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
3) Meaning of the nursing lamp
Reference: Ch. 1 — The Origins of Nursing — Nursing Insignia
, Stem: During orientation, a student asks why the nursing lamp
is used in ceremonies and symbols. Which explanation by the
LPN is most accurate?
A. It represents authority over other health care workers
B. It symbolizes Nightingale’s dedication to patient care and
watchfulness
C. It shows that nurses only work in hospitals
D. It means the nurse is qualified to prescribe medication
Correct Answer: B
Rationale — Correct: The lamp is associated with Florence
Nightingale and represents vigilance, service, and nursing
dedication. It is a professional symbol, not a legal authority
marker.
Rationale — A: Nurses do not use the lamp as a symbol of
authority.
Rationale — C: Nursing care occurs in many settings, not only
hospitals.
Rationale — D: Prescribing is not an LPN function and is
unrelated to the symbol.
Teaching Point: Nursing symbols reflect service, vigilance, and
professional identity.
Citation: Rosdahl, C. (2022). Rosdahl’s Textbook of Basic Nursing
(12th ed.). Ch. 1.
4) Lillian Wald and community nursing